改进护理方式对冠心病PCI术后患者近期不良心脏事件的影响

The impact of the ways to improve care on recent adverse cardiac events in patients with coronary heart disease after PCI

目的 探讨改进护理方式对冠心病行经皮冠状动脉介入治疗（PCI）患者心理应激反应及近期不良心脏事件的影响.方法 选取2012年6月至2014年6月在本院接受PCI治疗的128例冠心病患者为研究对象,根据患者人院时间将其分为对照组（2012年6月至2013年5月）62例及观察组（2013年6月至2014年6月）66例.对照组实施常规护理,观察组在对照组的基础上改进护理方案.对比分析改进护理方式对冠心病PCI患者植入支架时心理应激反应、不良情绪及近期不良心脏事件的影响.结果 观察组干预后收缩压、舒张压、心率水平分别为（117.8±16.7）mmHg、（70.2±4.8）mmHg、（70.2±3.8）次/min,显著低于对照组的（125.2±15.6）mmHg、（80.2±5.6）mmHg、（86.2±5.7）次/min,差异有统计学意义（P＜0.05）.观察组干预后HAMA、HAMD评分为（10.91±2.82）分、（16.31±3.81）分,显著低于对照组的（9.31±4.82）分、（13.26±7.84）分,差异有统计学意义（P＜0.05）.观察组住院期间心绞痛、心肌梗死、心律失常、心脏性猝死等不良心脏事件发生率低于对照组（4.54％比22.58％,P＜0.05）.结论 改进冠心病行PCI患者临床护理方式,能有效减轻患者支架植入时心理应激反应及负性情绪,降低住院期间不良心脏事件发生率,有利于患者预后.

Objective To explore the ways to improve care of recent adverse cardiac events of patients with coronary heart disease after peroutaneous coronary intervention （PCI）. Methods 128 cases of coronary heart disease patients undergoing PCI were divided into the control group （June 2012-2013 May） 62 cases and the obser- vation group （June 2013-June 2014） 66 cases from June 2012 to June 2014. The control group were implementated with routine care and the observation group were implementated with improve care of recent. The psychological stress, bad mood and the impact of recent adverse cardiac events after PCI of two groups were compared. Results The blood pressure, diastolic blood pressure, heart rate of observation group （117.8±16.7）mm Hg, （70.2±4.8）mm Hg, （70.2±3.8）time/rain were lower than the control group （ 125.2±15.6）mm Hg, （ 80.2±5.6）inm Hg, （ 86.2±5.7 ）time/ rain after implementated（P〈0.05 ）. The Hamilton Anxiety Scale（HAMA）, Hamilton Depression Scale（HAMD） scores of observation group （10.91±2.82）scores, （16.31±3.81）scores were lower than the control group （9.31±4.82）scores, （13.26±7.84）scores after implementated （P〈0.05）. The hospitalization angina, myocardial infarction, arrhythmias, sudden cardiac death and other adverse cardiac event rate of observation group were lower than the control group （4.54% vs 22.58%, P〈0.05）. Conclusion Change the way clinical care were PCI patients with coronary heart dis- ease, can effectively reduce psychological stress during stent implantation in patients with negative emotional reactions and reduce the incidence of adverse cardiac events during hospitalization, is conducive to patient prognosis.